HONDROS NUR 150 - EXAM 1 & 2 Combined/ Questions & Certified Solutions.

HONDROS NUR 150 - EXAM 1 & 2 Combined/ Questions & Certified Solutions. (S) in SBAR - Answer: Situation (B) in SBAR - Answer: Background (A) in SBAR - Answer: Assessment (R) in SBAR - Answer: Recommendation The single most important and preventative technique that healthcare workers can use to interrupt the infectious process is doing what? - Answer: Handwashing PPE stands for? - Answer: personal protective equipment A type bath used to reduce inflammation in the perineal/anal area - Answer: Sits Bath A type of bath that is used to reduce fever. - Answer: Tepid bath A type of bath that is used to reduce tension and to relax patient, as well as to relieve priorities caused by certain skin conditions - Answer: Medicated Bath First sequence in DONNING PPE - Answer: Gown Second sequence in DONNING PPE - Answer: Mask Third sequence in DONNING PPE - Answer: Goggles Fourth sequence in DONNING PPE - Answer: Gloves What is the full Sequence of DONNING PPE - Answer: Gown, Mask, Goggles, Gloves What is the full sequence of DOFFING PPE - Answer: Gloves, Goggles, Gown, Mask First sequence in DOFFING PPE - Answer: Gloves Second sequence in DOFFING PP - Answer: Goggles Third sequence in DOFFING PPE - Answer: Gown Fourth sequence in DOFFING PPE - Answer: Mask Standard precautions should be used for ________ patients. - Answer: ALL patients National Patient Safety Goals: Long Term Care Facilities - Answer: 1. Identify Residents Correctly 2. Use Medicine Safely 3. Prevent Infections 4. Prevent Residents From Falling 5. Prevent Bed Sores National Patient Safety Goals: Hospital - Answer: 1. Identify patients correctly 2. Improve Staff Communication 3. Use medications safely 4. Use alarms safely 5. Prevent Infection 6. Identify patient safety risks 7. prevent mistakes in surgery bottom blood pressure number - Answer: diastolic top blood pressure number - Answer: systolic HAI stands for what? - Answer: hospital acquired infection CAUTI stands for what? - Answer: Catheter Associated Urinary Tract Infection Chain of Infection: First Sequence - Answer: Infectious Agent Chain of Infection: Second Sequence - Answer: Resevoir Chain of Infection: Third Sequence - Answer: Portal of Exit Chain of Infection: Fourth Sequence - Answer: Mode of transmission Chain of Infection: Fifth Sequence - Answer: Portal of Entry Chain of Infection: Sixth Sequence - Answer: Susceptible Host Remove patient restraints every... - Answer: 2 hours Where is the preferred place to take a pulse on an unresponsive patient? - Answer: Carotid Where is the preferred place to take a pulse in a routine situation? - Answer: Radial What is patient centered care? - Answer: providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions Ohio Nurse Practice Act - Answer: It authorizes the OBN (Ohio Board Of Nursing) to make and enforce rules and regulations HIPPA (Health Insurance Portability and Accountability Act) - Answer: a federal law that sets standards for protecting the privacy of patients' health information Normal pulse/HR rate - Answer: 60-100 beats per minute Normal respiratory rate - Answer: 12-20 breaths per minute Normal Blood Pressure - Answer: 90-120/50-90 Tympanic temperature is taken where? - Answer: Ear Temporal temperature is taken where? - Answer: Across the forehead Hondros Nursing Nur 150: Exam 2/ QS & Ans Stage 1 pressure ulcer - Answer: Intact skin with nonblanchable redness Stage 2 pressure ulcer - Answer: Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or bruising. Stage 3 pressure ulcer - Answer: Full thickness tissue loss, subcutaneous fat may be visible. Possible undermining and tunneling. Stage 4 pressure ulcer - Answer: Full thickness tissue loss with exposed bone, tendon,or muscle. Slough or eschar may be present as well as undermining and tunneling. Unstageable pressure ulcer - Answer: Full thickness tissue loss, wound base covered by slough and eschar therefor dull depth cannot be determined. Slough - Answer: Fibrous tissue in wound bed that can be yellow, tan, gray, green, or brown. Nursing interventions to prevent pressure unlcers - Answer: Reposition bed bound pt every two hours, instruct pt in wheelchair to shift their weight every hour. Use of cushions and barrier cream. Manage moisture, optimize nutrition and hydration. Cognition - Answer: All the processes involved in human thought External nutrition - Answer: Nutrition support via tube feedings Parenteral nutrition - Answer: Nutrition supplied intravenously DRI - Answer: Refers to a set of nutritional based values that serve for both assessing and planning diets Three ways to confirm proper NG placement - Answer: Chest x-ray, PH test gastric contents, air bolus. With tube feeding what must be monitored daily - Answer: I/O, daily weight, daily labs Fatal risk of dysphagia - Answer: Aspiration pneumonia Nectar thickened - Answer: A little slower of the spoon than water Honey thickened - Answer: Very much slower off the spoon than water Spoon thickened - Answer: Will not drop off spoon Puréed - Answer: Pudding consistency such as mashed potatoes, vegetables, pasta in pudding consistency Mechanical soft - Answer: All foods except hard, crunchy, or sticky Dysphagia advanced - Answer: Includes moist and soft foods such as cooked cereal, canned fruit, noodles in sauce. Cold therapy NC - Answer: Recommended for first 24-48 hours after injury. Do not apply to red or blue areas. Check condition of skin every 5 minutes when using electrical cooling device. What color should the contents be when aspirating an NG tube - Answer: Green, brown, or tan Caution with digital impaction removal - Answer: Cardiac patients How many enemas should you do in a row - Answer: Until everything comes out clear, no more than 3 HILDA - Answer: Pain assessment: how does pain feel? Intensity? Location? Duration? Aggregating or alleviating factors? The fifth vital sign - Answer: Pain Organ that inacativates and metabolizes drugs - Answer: Liver Organ that eliminates the metabolites of the drug from the body - Answer: Kidneys AC - Answer: Before meals PC - Answer: After meals